| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,113 |
3,355 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,303 |
1,059 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
478 |
409 |
$27K |
| 99051 |
|
1,869 |
1,533 |
$13K |
| 87428 |
|
1,027 |
867 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,083 |
1,237 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,065 |
1,653 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
179 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,074 |
797 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
163 |
135 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,352 |
1,061 |
$6K |
| 87430 |
|
1,052 |
894 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$515.46 |
| 87420 |
|
123 |
95 |
$242.23 |
| 87807 |
|
70 |
50 |
$136.45 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
583 |
447 |
$59.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
653 |
498 |
$11.11 |